Jean Ann Graham
Pharmacist, Nutrition Support in Austin, TX. Individual provider (NPI-1).
NPI number1457844656
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1457844656
- Entity type
- Individual (NPI-1)
- Name
- Jean Ann Graham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835N1003X | Pharmacist, Nutrition Support | 21955 | TX | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
2503 Saratoga DrAustin, TX 78733-1240
Phone 512-299-1500
Mailing address
Po Box 340744Austin, TX 78734-0013
Phone 512-299-1500
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